A nurse is teaching a parent of a 4-month-old infant who has developmental dysplasia of the hip and is prescribed a Pavlik harness. Which of the following instructions on the use of a Pavlik harness should the nurse include in the teaching?
"Avoid massaging the skin under the straps."
"Use lotion on the skin under the harness."
"Adjust the harness straps weekly."
"Place the diaper under the straps."
The Correct Answer is D
A. "Avoid massaging the skin under the straps." Gentle massage is recommended to promote circulation and prevent skin breakdown.
B. "Use lotion on the skin under the harness." Lotion or powders should be avoided because they can cause skin irritation and breakdown.
C. "Adjust the harness straps weekly." Only the healthcare provider should adjust the straps to ensure proper hip positioning.
D. "Place the diaper under the straps." This helps keep the harness clean and dry, preventing skin irritation and breakdown.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D","E","F","G","H","I","J"]
Explanation
- Heart rate 104/min – The heart rate has decreased from 114/min on Day 1, indicating improvement.
- Respiratory rate 24/min – The respiratory rate has decreased from 26/min, showing stabilization.
- SpO₂ 98% on room air – Oxygen saturation remains stable and adequate.
- Mucous membranes pink and moist – Indicates improved hydration.
- Radial pulse 2+ bilateral – Stronger pulse compared to the previous day’s 1+, suggesting better circulation.
- Capillary refill less than 2 seconds – Improved from the previous day’s delayed refill (4 seconds), showing better perfusion.
- Extremities warm and dry to touch – Indicates adequate circulation and hydration.
- Good skin turgor – Suggests the child is well-hydrated.
- Bowel sounds active in all 4 quadrants – Indicates normal gastrointestinal function.
- Breath sounds clear anterior and posterior bilaterally – No respiratory distress or abnormal findings.
Findings that do not indicate improvement:
- Temperature 38.9°C (102°F) – Slightly higher than the previous day (38.7°C), suggesting persistent fever.
- Drowsy and lethargic – The child is still lethargic, which may indicate ongoing illness.
- Nuchal rigidity present – No improvement in meningitis-related symptoms.
- Cervical lymph slightly enlarged – Indicates ongoing immune response.
Correct Answer is {"dropdown-group-1":"D","dropdown-group-2":"A","dropdown-group-3":"B"}
Explanation
Gastrointestinal: Iron is better absorbed when the stomach is empty, so administering it between meals is the best approach to enhance its effectiveness.
Dental: Iron supplements can cause staining of the teeth, so brushing after taking the supplement will help prevent this issue.
Hematological: After a month of treatment with iron supplements, a follow-up blood test is necessary to evaluate the improvement in hemoglobin levels and to ensure the treatment is effective.
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